Mary Ogunsanya, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D005630 Issued in MD

Practice address

12150 Annapolis Rd
Suite 208
Glenn Dale, MD 20769-9183

Phone

(301) 218-0398

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.ogunsanya.1@16549.direct.athenahealth.com
• Direct secure messaging: mogunsanya801745@direct.umm.edu
• FHIR API: https://api.platform.athenahealth.com/16549/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maryland Children Health Center

  • Primary Care Clinic/Center
  • Oxon Hill, MD
  • NPI 1225872740
  NPD Authorized official
• Maryland Children Health Center

  • Primary Care Clinic/Center
  • Glenn Dale, MD
  • NPI 1558635235
  NPD Authorized official
• Cignet Health Uplift Medical

  • Multi-Specialty Clinic/Center
  • Temple Hills, MD
  • NPI 1053475749
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1922035633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2132",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207182132",
            "telephone_number": "301-218-0398",
            "fax_number": "301-218-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "address_2": "SUITE 208",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-218-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSANYA",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D005630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30240320",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cordelia Ada Nwagbo
• Osinachi Shawn Nwaobilor
• Philomina Nyasa
• Octavia Simkins-Wiseman DDS PC
• Naomi Odai-Anim
• Enoh Okodiko
• Ifenyiwa Helen Okonkwonwanigwe
• Ikechi F Okwara, MD
• Nkechi Okwara
• Stella Oladokun

• Pediatrics Physician in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.